Individual provider Active NPI

Sara A Bowen, PCS PROVIDER

  • Personal Care Attendant
  • Sparks, NV
National Provider Identifier
1083123160
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
7743PCS Issued in NV
Practice address
3078 Myles Dr
Sparks, NV 89434-6742
Phone
(775) 954-8835
NPI assigned
Sep 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 7743PCS NV
Adult Companion 372600000X 7743PCS NV
Personal Care Attendant 3747P1801X 7743PCS NV Primary

Addresses

Primary practice location

3078 Myles Dr
Sparks, NV 89434-6742

Mailing address

3078 Myles Dr
Sparks, NV 89434-6742
Phone (775) 954-8835

Other identifiers 1

IdentifierTypeStateIssuer
7743PCSOtherNVSTATE OF NEVADA HEALTH CARE QUALITY AND COMPLIANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7743PCSNVMDAdult Companion

Practice roles

OrganizationSpecialtyStatusNew patients
J&S Senior Services Chore Provider PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083123160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3078 MYLES DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346742",
            "telephone_number": "775-954-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 MYLES DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346742",
            "telephone_number": "775-954-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "SARA",
        "middle_name": "A",
        "credential": "PCS PROVIDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NV",
            "license": "7743PCS",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NV",
            "license": "7743PCS",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": "7743PCS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA HEALTH CARE QUALITY AND COMPLIANCE",
            "identifier": "7743PCS",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.